Organization
BENNIES MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENMICHAEL IDOWU MD (PRESIDENT)
(904) 421-1983
Entity
Organization
Contact information
Practice address
6500 W NEWBERRY RD, GAINESVILLE, FL 32605-4309
(352) 333-4000
Mailing address
3835 NW 32ND PL, GAINESVILLE, FL 32606-6161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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